Medtrust Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDTRUST MEDICAL TRANSPORT, LLC

Practice address

1014 Bankton Cir Ste 100
Hanahan, SC 29410-2931

Phone

(843) 284-6331

NPI assigned

Apr 9, 2012

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Boyd

Title

Director of Revenue Cycle

Phone

(843) 284-6331

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedOne Lowcountry Medical Transport, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1962768440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BANKTON CIR STE 100",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102931",
            "telephone_number": "843-284-6331",
            "fax_number": "843-633-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BANKTON CIR STE 100",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102931",
            "telephone_number": "843-284-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRUST MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "843-284-6331"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "306",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0319",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedOne Lowcountry Medical Transport, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MedOne Lowcountry Medical Transport, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erica Brooke Maxwell, OTD
• Hoyt Curtis McGee, RRT
• Elizabeth Michelle McGillicuddy, MS, CCC-SLP
• Reeshemah J McKelvey
• Medical Revenue Services
• Jonathan Derek Meeks, FNP
• Karryna Merwine, CRNP
• Jacob Miller
• Meagan Lee Mims
• Jessica Wallace Mirrielees, DMD

• Land Ambulance in Hanahan, SC
• Providers in Hanahan, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.